2011, 04-08 Permit App: 11000819 ResidenceProject Number: 11000819 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/2011 Page 1 of 3
Project Information:
Permit Use: NEW SFR - SEWER Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C - S - Z: SPOKANE WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 892-0454
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 45144.3205 Block:
SiteAddress: 609 N LUCILLE LN
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Area: 6,389 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: BIRCH HOLLOW LLC
Address: 852 PARK DR
ST MARIES, ID 83861
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
4/7/2011 By: tmelbourn
Released By:
Originally Released:
Sewer Review
4/5/2011 By: tschmidt
Released By:
Originally Released: 4/5/2011 By: JLMain
Permits•
Operator: jmm Printed By: JD
Print Date: 4/8/2011
Project Number: 11000819 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/2011 Page 2 of 3
Contractor:
Building Permit
HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Description Grp 'km Notes
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW <7999 SQ FT
SFR / DUP SITE PLN REVIEW
Contractor: HOMESTEAD CONSTRUCTI
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS 1 DUCT
Phone: (509) 892-0454
This Application: Total Project:
Sci Ft Valuation Sci Ft Valuation
1,241 $125,278.95 1,241 $125,278.95
532 $7,980.00 532 $7,980.00
80 $1,200.00 80 $1,200.00
612 $11,628.00 612 $11,628.00
Totals: 2,465 $146,086.95 2,465 $146,086.95
Units Unit Desc
SELECT
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,256.95
$4.50
$502.78
$50.00
$1,814.23
ON Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Contractor: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
SPOKANE, WA 99206
Item Description
TOILETS/BIDETS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Fee Amount
$11.00
$13.00
$44.00
Permit Total Fees: $68.00
Plumbing Permit
Firm: HOMESTEAD CONSTRUCTION
Phone: (509) 892-0454
Units Unit Desc
3 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Operator: jmm Printed By: JD
Fee Amount
$18.00
$6.00
$12.00
$6.00
$6.00
$6.00
$24.00
Permit Total Fees: $78.00
Print Date: 4/8/2011
Project Number: 11000819 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/2011 Page 3 of 3
Notes:
NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY
individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for
multi -business complex sign. (4-26-05) KK
Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant
placed upon them. See building address file for copy of Environmental Covenant.
Payment Summary: ,
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,814.23
$68.00
$78.00
Invoice Amount
$1,814.23
$68.00
$78.00
$1,960.23 $1,960.23
Amount Paid
$502.78
$0.00
$0.00
Amount Owing
$1,311.45
$68.00
$78.00
$502.78 $1,457.45
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: JD
Print Date: 4/8/2011
Permit Centeri-
_
• Spokane Spok - Wt9926117 Sdi eAye)5uite B-3
Valle,
(509)68- F0036, 509)688-00 7
wwSvss kanVWX:'evallev...o t
Community Development APS /%.3
Residential Constructo
Permit Application,
cubm1
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
New Construction
❑ Accessory Bldg
Addition/Remodel ❑ Deck
❑ Other:
l . CMc \ N \-- \\�
ASSESSORS PARCEL NO: \\000c>\`>`u LEGAL DESCRIPTION:Q\V.
Building Owner:
•
1
Name: c\ Co A.
Address:
S.
City: C)
Phone:?
State:
c1/4c3/4\1\-Sgt
Fax:
V \1-1 -7-t\-\`'•
Contact Person
Name: Ci .- ,„
Phone: - \4S4••
Describe the scope of work in detail:
rContiril : : 5
HEIGHT TO PEAK:
Name:\\
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Address: S "\-)._ -.,t se \
City: X, \tir...•:-., ,
Phone: `S`.\-.\• a" t
Z
State: Nr "�k'\vV
Fax: �>.�,-S"\'10
Contractor Lic No:
Exp Date:
City Business Lic. No:
\-\c
i1-,'Jc -S \c'N\'S-
aCo's oDBrojecC$
Proposed Use:
• . **********************
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has perrnisslon to represent the property owner In this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes ere available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/1907
0 Check
DATE: -5- \- \\
❑ Mastercard 0 VISA
Expires: VIN#:
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:-
\R:el \ OK--
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
.
`Jr: 0 K
IMPERVIOUS SURFACE
AREA:
`1-5, t.
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
6, 12
DECK/COV. PATIO SQ. FTG:
‘\ 6(L
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
rte_
.y�c'
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
SQ. \...cS'
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has perrnisslon to represent the property owner In this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes ere available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/1907
0 Check
DATE: -5- \- \\
❑ Mastercard 0 VISA
Expires: VIN#:
r
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If you spin around on your chair really
things around here will make a lot more sense.
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Fermat Center
- Scm,w 11703-E-S003piague A�e!Suite B-3
pokane SporaneN�lley�WA99206\
deso0
Ualley• (509)688-oiF:_(509)688-0037
Residential Constructiopol.ane1
i
p v / New Construction
Permit Application i I Addition/Remodel
rbt
s nYa�� ❑ Other:
wwws
valleY .org
Community Development
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: Cs 'k3r\\—
❑ Accessory Bldg
❑ Deck
ASSESSORS PARCEL NO: \\cY `c `1"'.1.-.* LEGAL DESCRIPTION: \V. . \ - S �. \ \c-\\.\
Building Owner: -;; _ •� '; , .,•F..'�: • '.trscto
Con it ;.
.. - .- - -r
Name: ` \
Narne: ‘‘.....\\ \ \ C k
Address: uu� t. '- {�
Address: S ,\� •,,,,,,, Z1
City:.. State: �� ,7st`p���
v •. �.
Phone: Fax: �� �� 1�
City: S State: Zip:
tics.... t,.,@. "�SZ�ia
f v-.
Phone: ' Fax:
FINISHED BASEMENT
SQ. FTG:
Contractor Lic No: Exp Date:
Contact Person "
30% SLOPES ON
PROPERTY: —
City Business Lic. No: \\
Name: C,„\,_ ,_ SA, _ar,„
HEAT SOURCE:
"Nc'
SEWER OR SEPTIC?
z \� cr•
Phone: 'So (,?:.,t4,.cL _ \h\'7`l
Describe the scope of work in detail:
Cost of Project: $
Proposed Use:
*********The followin MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
r).
g
DIMENSIONS:
ati, 5c ?2V
# OF STORIES:
TOTAL HABITABLE SPACE:
\11�
-.`N'
MAIN FLOOR TO SQ.
FTG:AREA:
\`i-," t \
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
`- " r-)--.
IMPERVIOUS SURFACE
`l-_-ao
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
i,,,'1_1"1
DECK/COV. PATIO SQ. FTG:
`.s.
30% SLOPES ON
PROPERTY: —
# OF BEDROOMS:
"-�
CONSTRUCTION TYPE:
HEAT SOURCE:
"Nc'
SEWER OR SEPTIC?
z \� cr•
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner In this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit Is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2)15/07
0 Check
DATE: -5' 71, \\
❑ Mastercard 0 VISA
Expires: VIN#:
ommmity Development
'lambing Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spolom Valley, WA 99206
(509)688-0036 FAX (509)688-0037
www ennlanrvell.v.nry «'m
Application ❑ Commercial u Residential
PERMIT NUMBER:
PERMIT FEE:
1Tt ADDRZSSi \i<i "\ \.\ -
eBdla2efweeF,. .. - ' i 18fAY:i....r....... .. -. , x.a.di r . ..
DESCRIPTION OP WORK
0 OP UNITS
lint Phone: Pax:
COST
•
TOTAL AMOUNT
admit City: Stott
Tours
WATER CLOSET. BIDETS
`\J
'qn ...., ..A r .. ... f.pl+,. p'Fye.. a4zr, .: '.....
1.00
�., .
- ..
uns I Phone: Par.
URJNNA
ddmet I City: Sena:
Zip:
•
Ioetue No: I City Bushiest Lionise No
TUBS
1
t{ ... .,a �c. .. :....... .. i.F:. ._. .Y�'utv:!�.A-td'..t>'SL�i Y«r�:: ri�:S:F ..y 4:':u✓311�.f f FfA ^.h:'.
�Ce♦iN','u�. r,. r. a.nf MT .. 1#e.�.,_y• 1W@phi .;:e:VIi�MN4,9...c:
16.00
�7:�
. - -
_r
.-.. .. ....
arty Phone:
SHOWERS (PER TRAM
BATH, STALL, QN-SITE BUILT
..
AITISOAIZED SIGNA1LIRB:
aavuaa NAM
DESCRIPTION OP WORK
0 OP UNITS
X
COST
•
TOTAL AMOUNT
1
Tours
WATER CLOSET. BIDETS
`\J
X
1.00
•
2
URJNNA
X
RECO
•
5
TUBS
1
X
16.00
•
4
SHOWERS (PER TRAM
BATH, STALL, QN-SITE BUILT
X
10.00
•
6
seas
LAVSBASWS. BAR, FLOOR KITCHEN,
umpire, UTILITY, JANITOR. PHOTO.
XR1V, FOOD. PREP/OU.INARY MEAT
.
X
10.00
•
e
oceiwaSHER
-
\
x
16,00
•
7
CLOTHES WASHER
\
X
00.00 '
•
0
GARBAGE DISPOSAL
X
10.00
•
9
WATER SOPTENE•
RX
W.00
•
10
ELECTR)C HOT WATER TANK ..
' '- NOTE: IF(AAS. SEE MECLNNICAL
X
1,00
•
11
A NS
AREA. CASE. COIL) TRENCH, CONDENSATE
\
X
KM•
+x
DRAINS�"
X
W.00
•.
•
11
FOUNTAINS, DRINKING
1 -
X
16.00
•
14
WATF.11 PWNGDRAW.W WASTE,
VENT, PLUMBING. REVERSAL
NSTALLAT1ON, ALTERATION. REPAIR,
REVERSALS
X
10.00
•
15
SEWAGE EJECTOR '
GRINDER. BUMP PUMP
X
16.00
•
to
WATER USING DEVICE
ICE AMOR COFFEE MAKER, HOSE BIB.
STEAMER
PROOFER, GARSONATOR SWAMP COOLER
4
X
16.99
•
'
17
CROSS CONNECTION DEVICE
VACUUM BREAKER OHECJ( VALVE.
AND R.P.B.P.D. FQpR VATS, TANKS, BOILERS
X
16,00
•
10
INTERCEPTORS,
SAN TRm
CHEMICAL TANK:
X
1.00
a
19
MEDICAL GAS be WWI
Nr1ROUS. OXYGEN
X
60.00
•
20
188CELLANEOUS PUMBI G
FIXTURE
X
1.00
•
21
PRIVATE SEWAGE DISPOSAUSYS
X
120.00
•
22
IC&STRIAL WASTE
1NTERCEPTDRX
..
110.00
•
METHOD W PAYMENT:
0 CAEN CHECK . - 0 VISA 0 MASTERCARD
O O
Cards FIRES:
SrJS
TAL
PROCESSIIIO FES
Moo
TOTAL PERIBT FEE DUE
AITISOAIZED SIGNA1LIRB:
aavuaa NAM
Penni Center
• .Sj>aaI1e 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Community Development (509)688-0036 FAX (509)688.0037,
tY op www.snokenev.11ev.o,t
Mechanical Permit Application ❑ Commercial
c ' Mifley
PERMIT NUMBER:
PERMIT FEE:
Residential
STTY ADDRESS:
\_'--r \\4+
Building Owou
.....
;
Name:
Phone:
Pax:
Addreu:
City.
State: -
Zip:
11.9_,J97-07.1.ur
... .... ,. '
..'. .
Name:
Phma:
Fax:
Astra:
aty.
State:
Zip:
Uccle.: No:
aly Bt011mo Ile:
Mama:
2
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Emilio Ming Cron loos°,
Meta Cron 100.000
x
x
X
COST
112.00
;15.00
al TOTAL AMOUNT
3
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal iliac Is than 400,000
X
;50.00
5
USED APPLIANCE (WSEC min. AFUE nem)
e
USED APPLIANCE (WSEC min. AFUE item)
1.43aUhan 400,000
X
3100.00
Emal guts Cron 400.000
' M7l1tron400,000
x
350.00
X
7
BOILER/REFRIGERATION
1.149M BTU
X
3100.00
;12.00
6
BOILER/REFRIGERATION
ll1'• 100M BTU
X
320.00
9
B0ILER/REFRIGERAT10N
10
B01LER/REFRIGERATON '
001j1.000M BTU
X
;25.00
1.001 -1.70094 BTU
X
335.00
11
BOILER'RE FRIG E RATION
lAcalhan1,7501.4 BTU
X
160.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
v. ;10.00
13
RANGE
X
310.00
14
DRYER
X
15
FUEL BURNING WATER HEATER
X
{10.00
$10.00
15
MISC. FUEL BURNING APPLIANCE
X
310.00
17
GAS PIPING (each outlet) '
x
;1.00
18
DUCT SYSTEMS
x
110.00
19
VENTILATING FANS
Ai
x
310.0,
20
21
AIR HANDLER (DOES NOT lndtide u4lleilp
A1R HANDLER (DOES NOT Include du5AYg)
22
EVAPORATIVE COOLERS
b missile 10.000 CPM
%
' ;12.00
` *Wig Von 10.000CPU
%
315.00
310.00
23
TYPE 111000
X
• PO.®
24
TYPE II HOOD
X
310.00
25
HEAT PUMP/AIR CONDITIONER '
• •OJ TON
x
312.00
215
• AIR CONDITIONER
3/6 TON
77
AIR CONDITIONER
' 15-30 TON
X
x
320.00
325.0
26
AIR CONOmONER
2J
AIR CONDmONER-
M"
Mon than SO TON
i
x
335.00
x
36°.00
33
LPO STORAGE TANK.
x
110.00
31
Y/000 OR PELLET STOVEANSERT
x
310.00
32
W000 STOVE - FREE STANDING
X
;25.00
33
34
35
REPAIR 3 ADOmONS
VENTILATION SYSTEMS
X
X
VENTILATION MECHANICAL EXHAUST
x
315.00
312.00
312.00
3d
INCINERATOR - RESIDENCE •
X
319.00
37
LSCINERATOR - COMMERCIAL
x
322.00
L_51100 Or PAYMENT:
DCASH D CHECK D VISA OMC
CARD t.
AUTHCr'SZED SIGNATURE:
EXPIRES:
we
OTAL
rselo ran
336.00
TOTAL PVMlrtraa DUE:
Spokane
Vai1ey®
• For City Use Only . -
PLUS Project Number / t -0k.1' /' ./'
Project Address : (nG)Y}. P. [feint
.11703 E Sprague Ave Suite B-3 •,Spokane Vatley.WA 99206 . - : •
509.688.0036 • Fax 509;688.0037•tpermitcenterC"spokanevatley.org2
As part -of our on -going -commitment to customer service during the;revicw process; of :your' project
application, we. are providing you with a TARGET DATE for the initial technical'application•review..iffor
,any reason we,cannot meet this date; we swill contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is: the date' we estimate your project.application will have.had• its.initial technical
• review. it is not the date for approval, or'permit issuance.. '
'Tips for a Smoother Prosect Application Review •
Submit complete, accurate plans and documents. '• -
• L•:cn•a ting roar be required for, rc-.submittals ns prnjecl, applic•e/lion / 1 i'I(wet:r 'wnrk;bn "multiple• cipplicutions;ond it '•
.nun be severe;/ clays hejore,lher can look cit ,our very or reyiseel /i1Jormutiiin.',."
•
' Designate -a specific contact 'person to commimiicate with.thc City.
While the person designated as t/reupplicant's contact person n7d11/n Citr'can he ehanged, one individual ,with the
erperlise for dealing wi1/i rerie1Ter comMents would be the best choice ji» the e'nlh e,rerieli process. ' '
Call staff regarding the status'of your project only after the target date shown'at the top ofthe'page.; ,.
Although you s'hou/d;he contacted on or` hr the target date. please feel free.to contcict us if you haven 7`lleard.fiom us
by imir larger date. Sluf/ 117a.v contact t'ou•helbre theta get dote if the •tnitial,avviei1 i.s,conplele. 8i fblloning this
• pi ocecbu'c•, 1 on 11711 saye tithe and a1011the reviewers to co/nplete the truck nrni c c. ipedinotishv,' —
a:...
•
Steps in the Permit Process
1, Counter Complete, \'our application, has been accepted' a•s'counter, complete. This- means all of: the- required
documents, as indicated on your Pre -Application Checklist have been submitted or "have•• been,approved. for "deterred
•submittal. This docs; nut prevent technical staff trom requesting additional information as a result gt•tlieir technical review.
2, Quality Check, Thc•next step in the process, is.a,quality check tomake sure -that ;lie application, is reviewable -and Gee
from substantive flaws that would pre\cnt technical staff from, completing the technical review once it- is' strted.- When
this step is complete your application .will beroutect.to the appropriate staff and remain-in•tlieir rcviet3 queue'until' it .
comes up for review..
•
3, Technical Compliance. Once an application is administratively complete; it is•routed.to technical shill for compliance.,,
review. Depending on the typeof project, technical stall may include-uultiphi reviewers: You should be contacted by '
phone, fax, email, or, mail by your TARGET, DATE once tlielnitial technical conipliancerreview,is'conplete.
4, Permit Issuance, When the technical compliance review of the application is complete; including•any subsequent re-
submittals, each reviewer will approve their section of the application'and route,it to the Permit Center. When 'all sections
of the application are received, a Permit Specialist will process the application and contact the'person specified on your
application for permit pick-up. Information. regarding fees and pre-constructionfineetings (if required) will be provided by
the Permit Specialist at that time. •
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07
1
40.
C1/4 eir
\V • 1+V G \` V o o v
z
;r7
ur
6
PLANNING DEP . APPROVED
BY:
DATE: `1/��A
RECEIVED
CSV PERMIT Ct=.N TER
APR 0 5 2011
i Submittal #_�--•----